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Modification of the working length after rotary instrumentation: a comparative study of four systems
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Martín Micó, Milagros; Forner Navarro, Leopoldo; Almenar García, Amelia del Pilar
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This document is a artículoDate2009
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Objective: To determine variation in post-instrumentation working length and root area in the following rotary
systems: ProTaper, RaCe, Mtwo and K3.
Study design: A sample of 40 resin blocks with double curvature (at 14 and 16 mm) and a 33º angle was used.
Working length was verified with a digital measure using a number 10 K file. The specific sequence for each rotary system was followed. The canal was measured between each file, and the variation noted to determine which
file showed the greatest variation within a same system and the different systems were compared. 1.5 X pre and
post-instrumentation microscopic photographs were taken and measurements of the area were taken with an image analysis programme.
Results: The area was found to increase by the following amounts: ProTaper: 21.85 mm²; Mtwo: 20.16 mm²; K3:
17.24 mm² and RaCe: 16.09 mm² The differences in variation of the working length were: ProTaper: 0.81 mm;
Mtwo: 1.07 mm; K3: 0.31 mm and RaCe: 0.81 mm
Conclusions: The values for the variation in working length are clinically not very significant. All the rotary
systems analysed showed a tendency to straighten the canal and eliminate the apical curvature, and the ProTaper
system was found to produce the greatest modification to the canal area and structure.
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